Senior Accountant
Company: Neighborhood Healthcare
Location: Escondido, CA
Type: Full-time
Posted: 2026-05-17
About this role
ROLE OVERVIEW And PURPOSE
The
Senior Accountant
is a key member of the Finance team responsible for ensuring the financial accuracy, regulatory compliance, and operational integrity of the Federally Qualified Health Center (FQHC). This role leads critical components of the organization’s accounting operations—including general accounting, financial reporting, tax compliance, and capital project oversight—and provides proactive financial insights that support informed operational decisionmaking. This position requires a highly independent, analytical, and detaildriven individual who can confidently manage complex accounting tasks with minimal direction. The Senior Accountant reports to the Senior Accounting Manager and maintains a dottedline reporting relationship with the Accounting Supervisor.
Responsibilities
General Accounting
- Prepare, review, and post journal entries; independently support monthend and yearend close activities.
- Reconcile balance sheet accounts and maintain accurate, wellsupported general ledger records.
- Maintain organized audit documentation and prepare audit schedules with minimal oversight.
- Identify and recommend improvements to strengthen internal controls, workflows, and efficiencies.
- Collaborate crossfunctionally with the Controller, Grants, Operations, Revenue Cycle, HR, and Facilities teams.
Financial Reporting & Analysis
- Produce month-over-month financial reports, KPIs, and variance analyses.
- Prepare financial packages for departments, leadership, and programs.
- Identify financial trends, risks, and operational opportunities for improvement.
Property Management Accounting
- Track certificates of insurance (COIs), CAM allocations, property tax schedules, exemptions, and related entries.
- Maintain compliance for nonprofit property tax exemption filings.
Debt, Treasury & Tax Compliance
- Monitor bank covenants; prepare lender compliance reports.
- Track line‑of‑credit activity...